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Ll <br />Yes No <br />*Comment <br />M-MR-11TIZON MTkXTQ= <br />EMPR 172.101)? includirxj(a) <br />Eipping name (table column 2)? <br />Proper ID number (table column 3A)? <br />Proper CRK designation for containers of <br />CRM-A,B,C,D or E wastes? <br />Are cmtainers of 110 gallons or less marks -i -I <br />with the followiM words? (66262.32(b)] <br />MkZARDOLJS MWIE-Federal Iaw Prohibits Improper Disposal. If found, contact the <br />police or public safety authority or the U.S. Environmental Protection Agency or <br />California Department of Health Services. <br />Generators Name & Address <br />Manifest Document Number I <br />Does the generator placard or offer the initial <br />transporter the placards reqAred by 49 CTR 172, <br />Subpart V (66262.33] <br />Are the following kept for at least three years: <br />(66262.40-) <br />(a) Each manifest signed by the generator per <br />66262.23(a), until receipt of a signed copy from <br />the designated facility, and the manifest signed <br />by the receiving facility? <br />(b) Each Biennial Report and Exception Report? <br />(c) Test results, waste analysis or other <br />determinations made in accordance with 66262.11? <br />If the generator has shipped any waste off-site <br />to a U.S. TSD, have s.txenitted a Biennial <br />Report to the by 4%7:h 1 of each even <br />numbered year?76r6262.4l(a)] <br />Revised 7/15/91 Page 19 <br />